Where you given tablets (omeprazole) the night before your C Section?

[HazelEagle]

Hi there,

It appears that two different NHS trusts work differently in regards to taking tablets before your C section

One trust we know of day take omeprazole at 10pm the night before the C section and one on morning and the other said they just do it on the day?

What was your experience?

I took mine the night before, but I was booked to come in super early in the morning.

That’s interesting. Pre op done today and they said they just give you the tablets on the day?

Same, took mine night before but I was booked in early day after. After weeks of insane heartburn I was delighted!

We’ve not been given any and that we will get it on the day

Night before and on the day as well for me.

Planned CS I had them the night before (but I knew I would be first on the list).

The one that was technically ‘planned’ but only on the morning that it happened, I was given them right before the op. I didn’t notice a difference.

I had mine evening and morning of cs…I was still vomited twice after when back on ward following eating some toast and then a flapjack

my advice…don’t eat day of your cs unless much later in evening

I really regret it!

My eldest was born in 2003, no mention of any medication.
Had a bowl of porridge that morning and was then bumped up the list, timeframe of eating had obs been okay.
Things so change!

i had them around 2pm, c section around 5pm. Don’t worry about it, obviously emergency c sections aren’t having it night before!

Ha was going to say that. I had an EMCS and had eaten a takeaway pizza just a few hours before in the delivery room

I had emcs so it’s slightly different question but I didn’t have it. I also had a small meal a few hours before the op. During the op I did feel slightly nauseous but it was fine.

When I had DD in 2000 it was a planned C Section and the consultant asked me if I would take an anti sickness tablet as part of a clinical research trial he was doing to prevent post op sickness in new mums! I wonder if omeprazole was that ?! I didn't take part because I'd not had nausea for my 2 previous CS and was already overwrought and stressed enough!

Mine was night before and morning of. But I was guaranteed first on the list for both (perks of going private!) so was in theatre at 7am.

No. I don't remember vomiting either.
2 csecs 1 emergency/ 1 planned.
Why are you vomiting?

Omeprazole isn’t an antiemetic - It reduces the acidity of the stomach contents and reduces the volume slightly (which may help with nausea, but that’s not its primary role). We use it on labour ward to reduce the risk and consequences of someone aspirating stomach contents which can be a problem particular when having an GA. It works relatively quickly and lasts a lot longer than the pharmacokinetics suggest it should. We give it to most women even if the plan is to stay awake because there’s always a small chance of needing to convert to a GA, and a GA at term has a higher chance of aspirating stomach contents than when not pregnant. Some places do give to women having emergency sections too. Different hospitals do have different protocols for it and that mainly reflects that there’s no right or wrong way of doing it.
Re the comments about fasting - ideally we’d wait until someone’s fasted because even though the risk of aspiration stays relatively high in pregnancy the implications of aspirating solid matter rather than just liquid is higher. Labour is unpredictable though (and stomach emptying when someone’s in pain/has had opioids is even slower than usual) and in an emergency the risk of waiting to be ‘officially’ fasted is usually unacceptably high so we just have to crack on. HTH.

Inpatients are often given it regardless of whether it is actually indicated.